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Alejandra Laverde, PA

Physician Assistant in Gainesville, FL. Individual provider (NPI-1).

NPI number1174192561
StatusActive
Last updated in NPPESApr 9, 2022

Details

NPI
1174192561
Entity type
Individual (NPI-1)
Name
Ms. Alejandra Laverde
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2021
Certification date
Mar 21, 2022
Last updated
Apr 9, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9114093FLYes
363A00000X Physician AssistantPA59630CA

Practice location

1600 Sw Archer Rd
Gainesville, FL 32610-3432

Phone 352-265-5911 · Fax 352-265-5606

Mailing address

Po Box 100186
Gainesville, FL 32610-0186

Phone 352-265-5911 · Fax 352-265-5606

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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